| Nicole T Gordon, Dmd, Plc | |
|
691 Alderman Rd Palm Harbor FL 34683-2602 | |
| (727) 724-4227 | |
| Not Available |
| Full Name | Nicole T Gordon, Dmd, Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 691 Alderman Rd, Palm Harbor, Florida |
| Authorized Official Name and Position | Nicole T Gordon (DENTIST/OWNER) |
| Authorized Official Contact | 7277244227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole T Gordon, Dmd, Plc 1301 Eniswood Pkwy Palm Harbor FL 34683-2027 Ph: (727) 724-4227 | Nicole T Gordon, Dmd, Plc 691 Alderman Rd Palm Harbor FL 34683-2602 Ph: (727) 724-4227 |
| NPI Number | 1720224074 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 12/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720224074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 263787324 (Florida) | Primary |
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